DEFINITIONS

CONCEPT OF HEALTH
Prof. (Brig.) Sunder Lal

• WHO DEFINITION ¾ “ Health is a state of complete Physical, mental & social well being & not merely the absence of disease or infirmity”. • Spiritual dimension ¾ A dynamic state of complete physical, mental & social & spiritual well being & not merely the absence of disease & infirmity.

VARIOUS ERAS & FOCUS
• • • • • < 1850: 1850-1900: 1900-1950: 1950-1977: 1977-2000 & beyond Symptoms Bacteria/Disease Individual Health Community Health Health for all (Global) • • • •

HEALTH DIMENSIONS
Physical well being Mental well being Social well being Spiritual well being: focuses on self, consciousness, intuition.

RESPONSIBILTY OF HEALTH
• Individual – Family • Community • Government- NGOs
• • • •

HEALTH FOR ALL
Goal- HEALTH Attainment of “ Level” Through P.H.C Health as part of total development

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protected/ improved Sanitation Housing Sex ratio Literacy Longetivity Economics – per capita ■ • • • • • • • • • • INDICATORS OF HEALTH POSITIVE INDICATORS Gross National Income Gross domestic product Life expectancy Literacy levels % population with improved water source Population having & using toilets Balanced sex ratio Safe deliveries Access to health services Health policies 2 . Biological & man made HEALTH HEALTH SERVICES Promotive. curative & rehabilitative BEHAVIOUR ▪Actions ▪Habits ▪Reactions ▪Belief. Social. attitudes ▪Practices (lifestyles) HEALTH TRIAD AGENT HOST SANITATION COVERAGE (rural areas) Country China India Iraq Pakistan Sri Lanka World Sanitation coverage (%) 44 36 80 54 91 58 ENVIRONMENT MEASUREMENT OF HEALTH • INDIVIDUAL • COMMUNITY ¾ ¾ ¾ ¾ ¾ ¾ ¾ Water. preventive.DETERMINANTS OF HEALTH HEREDITY DETERMINANTS OF HEALTH • • • • • National rural health mission Environment Behaviour Health Services Heredity ENVIRONMENT Physical.

INDICATORS OF HEALTH ■ NEGATIVE INDICATORS • Mortality rates • Infant mortality • Maternal mortality • Under five mortality • Low birth weight • Population below poverty line • Adults HIV prevalence • Disease burden • • • • • • • • HEALTH POLICY INDICATORS % of GDP for health User charges Public private partnership Public health standards Decentralization of management Social insurance Population policy Essential drugs INDICATORS FOR QUALITY OF LIFE • • • • Gross national product / GNI/ Capita GNI per annum per person.720$ Physical quality of life Human development index HOW TO ACHIEVE GOAL OF HEALTH • Education • Provide health services • Legislation 3 .